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Lebenbaum M, de Oliveira C, Gagnon F, Laporte A. Child health and its effect on adult social capital accumulation. HEALTH ECONOMICS 2024; 33:844-869. [PMID: 38236659 DOI: 10.1002/hec.4792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 11/15/2023] [Accepted: 11/28/2023] [Indexed: 04/04/2024]
Abstract
Although studies have demonstrated important effects of poor health in childhood on stocks of human and health capital, little research has tested economic theories to investigate the effect of child health on social capital in adulthood. Studies on the influence of child health on adult social capital are mixed and have not used sibling fixed effects models to account for unmeasured family and genetic characteristics, that are likely to be important. Using the Add-Health sample, health in childhood was assessed as self-rated health, the occurrence of a physical health condition or mental health condition, while social capital in adulthood was measured as volunteering, religious service attendance, team sports participation, number of friends, social isolation, and social support. We used sibling fixed effects models, which attenuated several associations to non-significance. In sibling fixed effects models there was significant positive effects of greater self-rated health on participation in team sports and social support, and negative effect of mental health in childhood on social isolation in adulthood. These results suggest that children with poor health require additional supports to build and maintain their stock of social capital and highlight further potential benefits to efforts that address poor child health.
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Affiliation(s)
- Michael Lebenbaum
- Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada
- Canadian Centre for Health Economics, Toronto, Ontario, Canada
- Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Claire de Oliveira
- Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada
- Canadian Centre for Health Economics, Toronto, Ontario, Canada
- Centre for Health Economics and the Hull York Medical School, University of York, York, UK
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - France Gagnon
- The Dalla Lana School of Public Health (DLSPH), University of Toronto, Toronto, Ontario, Canada
| | - Audrey Laporte
- Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada
- Canadian Centre for Health Economics, Toronto, Ontario, Canada
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Wu K, Doe E, Roude GD, Wallace J, Francois S, Richardson L, Theall KP. Social capital and changes of psychologic distress during early stage of COVID-19 in New orleans. Sci Rep 2024; 14:5773. [PMID: 38459081 PMCID: PMC10924086 DOI: 10.1038/s41598-024-56249-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 03/04/2024] [Indexed: 03/10/2024] Open
Abstract
Here we report on the relationship between measures of social capital, and their association with changes in self-reported measures of psychological distress during the early period of the COVID-19 pandemic. We analyze data from an existing cluster randomized control trial (the Healthy Neighborhoods Project) with 244 participants from New Orleans, Louisiana. Changes in self-reported scores between baseline (January 2019-March 2020) and participant's second survey (March 20, 2020, and onwards) are calculated. Logistic regression is employed to examine the association between social capital indicators and measures of psychological distress adjusting for key covariates and controlling for residential clustering effects. Participants reporting higher than average scores for social capital indicators are significantly less likely to report increases in psychosocial distress between pre and during the early stage of the COVID-19 pandemic. Those who report higher than average sense of community were approximately 1.2 times less likely than those who report lower than average sense of community scores to experience increases in psychological distress before and during the global pandemic (OR 0.79; 95% CI 0.70,0.88, p ≤ 0.001), even after controlling for key covariates. Findings highlight the potentially important role that community social capital and related factors may play in the health of underrepresented populations during times of major stress. Specifically, the results suggest an important role of cognitive social capital and perceptions of community membership, belonging, and influence in buffering changes of mental health distress experienced during the initial period of the COVID-19 pandemic among a sample of residents.
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Affiliation(s)
- Kimberly Wu
- School of Public Health and Tropical Medicine, Tulane University, New Orleans, USA.
| | - Erica Doe
- School of Public Health and Tropical Medicine, Tulane University, New Orleans, USA
| | | | - Jasmine Wallace
- School of Public Health and Tropical Medicine, Tulane University, New Orleans, USA
| | | | | | - Katherine P Theall
- School of Public Health and Tropical Medicine, Tulane University, New Orleans, USA
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De Luca GD, Lin X. The role of health and health systems in promoting social capital, political participation and peace: A narrative review. Health Policy 2024; 141:105009. [PMID: 38350755 DOI: 10.1016/j.healthpol.2024.105009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 12/29/2023] [Accepted: 01/09/2024] [Indexed: 02/15/2024]
Abstract
High levels of violence and insecurity are highly detrimental for societies. United Nations Sustainable Development Goal 16 is advocating for peaceful, accountable and inclusive institutions as one powerful channel to foster global development. Investing in health and health policies can potentially contribute achieving these objectives. After providing a conceptual framework, this article reviews the existing literature on the evidence of the role of health and health systems in promoting social capital and trust, political engagement and participation, and peace that closely relate to the objectives of Sustainable Development Goal 16. We provide evidence of a systematically positive impact of better physical and mental health on social capital, and on political participation, both contributing to the sustainability of inclusive democratic institutions. We also document that health and health systems can help supporting peace, both via the reduction of social inequality and grievances, and by reducing the disruptive effects of epidemic shocks. Overall, the study provides evidence that health and health systems can generate co-benefits outside the health domain by promoting social capital, political participation and peace.
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Affiliation(s)
| | - Xi Lin
- University of York, Heslington, YO105DD York, UK
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Wu K, Doe E, Roude G, Wallace J, Francois S, Richardson L, Theall K. In it Together: Sense of Community and Psychologic Distress During COVID-19. RESEARCH SQUARE 2023:rs.3.rs-2838471. [PMID: 37205410 PMCID: PMC10187417 DOI: 10.21203/rs.3.rs-2838471/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
We assessed the relationship between differences in indicators of social capital before and during the COVID-19 pandemic, and their association with self-reported measures of psychological distress. The data was analyzed from an existing cluster randomized control trial (the Healthy Neighborhoods Project ) with 244 participants from New Orleans, Louisiana. Differences in self-reported scores between baseline (January 2019-March 2020) and participant's second survey (March 20, 2020, and onwards) were calculated. Logistic regression was employed to examine the association between social capital indicators and measures of psychological distress adjusting for key covariates and controlling for residential clustering effects. Participants who reported higher than average scores for social capital indicators were significantly less likely to report increases in psychosocial distress between pre and during the COVID-19 pandemic. Those who reported higher-than-average sense of community were approximately 1.2 times less likely than those who reported lower than average sense of community scores to experience increases in psychological distress before and during the global pandemic (OR = 0.79; 95% CI = 0.70,0.88, p ≤ 0.001), even after controlling for key covariates. Findings highlight the potentially important role that community social capital and related factors may play in the health of underrepresented populations during times of major stress. Specifically, the results suggest an important role of cognitive social capital and perceptions of community membership, belonging, and influence in buffering changes of mental health distress experienced during the initial period of the COVID-19 pandemic among a population that is majority Black and female.
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Jayawardana D, Gannon B, Doust J, Mishra GD. Excess healthcare costs of psychological distress in young women: Evidence from linked national Medicare claims data. HEALTH ECONOMICS 2023; 32:715-734. [PMID: 36495290 PMCID: PMC10947058 DOI: 10.1002/hec.4641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 10/14/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
The prevalence of mental health disorders in young adults is increasing, yet there is limited empirical evidence on its economic consequences. We contribute to the literature by estimating the healthcare costs of psychological distress using panel data of young women (aged 18-23 years with a 5-year follow-up) from the Australian Longitudinal Study on Women's Health and linked administrative data from Medicare Australia. Our empirical strategy is based on the classical two-part model of healthcare costs with individual specific fixed-effects. We complement our analysis with a test for selection on unobservables to address potential concerns of endogeneity. We find that young women with psychological distress have 15% higher annual healthcare costs (excluding hospital costs) than women with no psychological distress. A large proportion of these costs is driven by the use of antidepressants and the services of psychiatrists and psychologists. We further find that women with psychological distress have higher out-of-pocket costs on these mental health related services compared to non-mental health specific services. Additionally, we show that the effect of psychological distress on healthcare costs is highest during the first 6 months of onset, which gradually decreases afterwards. The findings justify the importance of policy initiatives towards early prevention and treatment of psychological distress, especially among young women.
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Affiliation(s)
- Danusha Jayawardana
- Centre for Health EconomicsMonash Business SchoolMonash UniversityCaulfield EastVictoriaAustralia
| | - Brenda Gannon
- School of Economics and Centre for the Business and Economics of HealthUniversity of QueenslandSt LuciaQueenslandAustralia
- NHMRC Centre for Research Excellence on Women and Non‐Communicable Diseases (CRE WaND)School of Public HealthThe University of QueenslandHerstonQueenslandAustralia
| | - Jenny Doust
- NHMRC Centre for Research Excellence on Women and Non‐Communicable Diseases (CRE WaND)School of Public HealthThe University of QueenslandHerstonQueenslandAustralia
| | - Gita D. Mishra
- NHMRC Centre for Research Excellence on Women and Non‐Communicable Diseases (CRE WaND)School of Public HealthThe University of QueenslandHerstonQueenslandAustralia
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Krug G, Prechsl S. Do changes in network structure explain why unemployment damages health? Evidence from German panel data. Soc Sci Med 2022; 307:115161. [DOI: 10.1016/j.socscimed.2022.115161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 05/27/2022] [Accepted: 06/17/2022] [Indexed: 11/24/2022]
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Perceived social support on postpartum mental health: An instrumental variable analysis. PLoS One 2022; 17:e0265941. [PMID: 35511885 PMCID: PMC9070871 DOI: 10.1371/journal.pone.0265941] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 03/10/2022] [Indexed: 11/19/2022] Open
Abstract
The postpartum period is a challenging transition period with almost one in ten mothers experiencing depression after childbirth. Perceived social support is associated with mental health. Yet empirical evidence regarding the causal effects of social support on postpartum mental health remains scarce. In this paper, we used a nationally representative panel data of women to examine causality between perceived social support and postpartum mental health. We used fixed-effect method and included dependent variable lags to account for past mental health condition before birth (i.e., the pre-pregnancy and prenatal periods). The study also used an instrumental variable approach to address endogeneity. We find a declining trend in postpartum mental health between 2002 to 2018. Our study also showed that past mental health (i.e., before childbirth) is positively correlated with postpartum mental health. A universal routine mental health screening for expectant and new mothers should remain a key priority to ensure mental wellbeing for the mothers and their infants.
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Cao X, Zhang H, Li P, Huang X. The Influence of Mental Health on Job Satisfaction: Mediating Effect of Psychological Capital and Social Capital. Front Public Health 2022; 10:797274. [PMID: 35211441 PMCID: PMC8860985 DOI: 10.3389/fpubh.2022.797274] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 01/03/2022] [Indexed: 12/30/2022] Open
Abstract
Using data from the 2018 Chinese Family Panel Studies (CFPS), based on the mood-congruent theory, this study aims to explore the mechanisms of mental health on job satisfaction from the internal perspective (psychological capital) and external perspective (social capital). The results showed that (1) the two components of mental health have different effects on job satisfaction. The positive component of mental health had a positive effect on job satisfaction, while the negative component of mental health had a negative effect on job satisfaction; (2) Psychological capital and social capital play a mediating role in the relationship between mental health and job satisfaction. (3) After considering the potential endogenous problems between mental health and job satisfaction and conducting additional robustness analysis, including changing dependent variable and changing independent variable, our main results and influence mechanisms are remain robust and reliable. With the emergence of an increasingly competitive knowledge economy era, employees' mental health plays an important role in job satisfaction. Thus, it is imperative for managers to enhance employees' job satisfaction and better implement humanistic management by nurturing employees' psychological and social capital through the mental health.
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Affiliation(s)
- Xin Cao
- School of Economics, Guangxi University, Nanning, China.,School of Economics and Trade, Guangxi University of Finance and Economics, Nanning, China
| | - Heng Zhang
- School of Business Administration, Guangxi University, Nanning, China
| | - Peng Li
- School of Business Administration, Guangxi University, Nanning, China
| | - Xiaozhi Huang
- School of Business Administration, Guangxi University, Nanning, China
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Dai X, Gu N. The Impact of Social Capital on Mental Health: Evidence from the China Family Panel Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:190. [PMID: 35010448 PMCID: PMC8750364 DOI: 10.3390/ijerph19010190] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 12/20/2021] [Accepted: 12/21/2021] [Indexed: 01/16/2023]
Abstract
The influence of social capital on mental health is a controversial topic. As some studies have pointed out, cognitive social capital significantly affects mental health but structural social capital does not. Using data from the China Family Panel Survey, this study measured social capital from social help, social trust, social networks, and social participation, and took regional average level of social capital as the instrumental variables, and applied a two-stage least squares regression. We found that the mental health of residents who trust and help each other is significantly higher than that of residents without trust and mutual help. When residents' efforts to maintain social networks increase, their mental health significantly improves. These results are robust. Furthermore, the impact of social capital on mental health was heterogeneous in terms of urbanicity, gender, age, and area. These results are helpful for making policies for promoting residents' mental health.
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Affiliation(s)
- Xianhua Dai
- School of Public Administration, Central China Normal University, Wuhan 430079, China;
- Center for Labor and Social Security Research, Central China Normal University, Wuhan 430079, China
| | - Nian Gu
- School of Public Administration, Central China Normal University, Wuhan 430079, China;
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